Individual
DR. JED H. WEITZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
416 N TIOGA ST, ITHACA, NY 14850-4229
(607) 273-6946
(607) 256-1680
Mailing address
416 N TIOGA ST, ITHACA, NY 14850-4229
(607) 273-6946
(607) 256-1680
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8507
NY
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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